MEDICARE: CHOICE OF CARE MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	219427	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447566419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHOICE OF CARE MEDICAL PC

Provider Business Mailing Address
First Line	:	1723 ELM AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1723 ELM AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-5306
Country	:	US
Telephone Number	:	646-544-7198
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NATALIE ARNOFF
Credential	:	D.O.
Telephone Number	:	646-544-7198

Provider Enumeration Date	:	08/27/2010
Last Update Date	:	08/27/2010

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Directions to “CHOICE OF CARE MEDICAL PC ” Practice Location

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